Assess
& Address: Whiplash
by Whitney Lowe |
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Pathology
Newton’s First Law of Motion states that an object at rest
will have a tendency to stay at rest unless acted upon by an outside
force. If you are sitting still at a traffic light and someone
hits you from behind, your head will have a tendency to stay at
rest when the force of the impact first throws the car (and your
body) in a forward direction. This will make your head hyperextend
in relation to the rest of your body. This is an acceleration
injury. A similar situation happens in the deceleration injury.
Newton’s
first law also states that an object in motion will have a tendency
to stay in motion unless acted upon by an outside force. If you
are moving forward in a car and you hit something head-on, there
is a sudden deceleration of both the car and your body. Your head
is ?floating? on top of your torso, so it is more moveable in
relation to the torso. When your body suddenly stops as a result
of hitting something straight in front of you, your head keeps
going - and it is the soft tissues of the posterior cervical area
that will have to stop it. The posterior cervical muscles are
likely to be strained in the process. This is a deceleration whiplash
injury.
These
examples may be quite simplified in relation to what actually
happens in many motor-vehicle accidents. Many collisions don’t
occur either straight on or from behind. An impact from another
angle changes where the cervical region may be stressed. In addition,
the speed or velocity of the impact is often not directly consistent
with the degree of tissue damage. It has been demonstrated that
even in a low-velocity impact, the head may extend past 120 degrees
of extension where normal extension is 70 degrees.
References